Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MONUMENT HEALTH RAPID CITY HOSPITAL, INC.

NPI: 1437122009 · RAPID CITY, SD 57701 · Primary Care Clinic/Center · NPI assigned 02/13/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PIERCE, JOHN controls 18+ related entities in our dataset. Read more

$11.54M
Total Medicaid Paid
274,138
Total Claims
132,668
Beneficiaries
88
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPIERCE, JOHN (MONUMENT HEALTH PRESIDENT)
NPI Enumeration Date02/13/2006

Related Entities

Other providers sharing the same authorized official: PIERCE, JOHN

ProviderCityStateTotal Paid
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $5.17M
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $1.56M
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $1.29M
MONUMENT HEALTH RAPID CITY HOSPITAL, INC RAPID CITY SD $996K
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $588K
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $315K
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $252K
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $162K
MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY SD $76K
MONUMENT HEALTH RAPID CITY HOSPITAL. INC. RAPID CITY SD $75K
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $52K
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $48K
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $48K
MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY SD $29K
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $20K
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. WALL SD $4K
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $2K
MONUMENT HEALTH RAPID CITY HOSPITAL, INC. RAPID CITY SD $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37,033 $1.02M
2019 39,981 $1.37M
2020 18,160 $833K
2021 42,337 $2.01M
2022 47,119 $1.96M
2023 47,364 $1.80M
2024 42,144 $2.54M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 Collection of venous blood by venipuncture 16,718 15,269 $4.38M
99283 Emergency department visit for the evaluation and management, moderate severity 20,406 17,376 $1.40M
99284 Emergency department visit for the evaluation and management, high severity 19,453 15,085 $618K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,668 1,505 $557K
J7120 Ringers lactate infusion, up to 1000 cc 2,020 1,786 $497K
G0378 Hospital observation service, per hour 43,092 937 $474K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 20,477 7,807 $427K
96361 Intravenous infusion, hydration; each additional hour 828 771 $411K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 34,319 3,634 $410K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,465 4,128 $391K
J7030 Infusion, normal saline solution , 1000 cc 1,004 910 $375K
A9270 Non-covered item or service 36,347 9,433 $322K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 2,879 2,755 $270K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 6,277 2,087 $232K
0202U Oncology (prostate), multianalyte, gene expression profiling 257 251 $127K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 501 362 $70K
41899 Unlisted procedure, dentoalveolar structures 204 197 $56K
J3490 Unclassified drugs 340 165 $47K
81001 3,271 2,994 $46K
71046 Radiologic examination, chest; 2 views 374 332 $40K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 196 196 $39K
J3010 Injection, fentanyl citrate, 0.1 mg 2,008 787 $36K
71045 Radiologic examination, chest; single view 785 752 $32K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 116 112 $29K
J1885 Injection, ketorolac tromethamine, per 15 mg 4,257 2,288 $21K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,564 650 $20K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,100 1,112 $18K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 108 105 $18K
80053 Comprehensive metabolic panel 9,302 8,653 $18K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 243 235 $16K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,526 327 $15K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 585 512 $12K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 33 32 $10K
87070 471 464 $9K
70450 Computed tomography, head or brain; without contrast material 58 57 $8K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 73 73 $8K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 570 191 $8K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,850 4,495 $7K
J2270 Injection, morphine sulfate, up to 10 mg 1,258 411 $6K
87486 161 161 $6K
87634 15 15 $5K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,090 1,404 $5K
J2704 Injection, propofol, 10 mg 3,442 1,793 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 11,755 10,862 $5K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 614 320 $4K
93971 111 12 $3K
97597 108 26 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 440 126 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 170 163 $2K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 16 15 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 28 12 $2K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 24 12 $1K
80306 42 40 $1K
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc 12 12 $1K
Q3014 Telehealth originating site facility fee 221 168 $1K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 80 77 $999.61
84443 Thyroid stimulating hormone (TSH) 98 94 $928.98
80048 Basic metabolic panel (calcium, ionized) 277 264 $828.58
J1200 Injection, diphenhydramine hcl, up to 50 mg 662 507 $681.11
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 25 24 $633.04
83690 833 745 $421.98
96375 Therapeutic injection; each additional sequential IV push 1,213 1,120 $362.85
J1170 Injection, hydromorphone, up to 4 mg 42 29 $212.63
82077 431 397 $162.94
86140 29 25 $97.64
J3475 Injection, magnesium sulfate, per 500 mg 37 25 $79.50
83735 439 386 $34.63
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 322 161 $31.46
87581 161 161 $31.46
87088 16 13 $28.93
85652 32 28 $19.38
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 168 168 $0.01
85610 52 51 $0.00
J1644 Injection, heparin sodium, per 1000 units 206 113 $0.00
00170 Anesthesia for intraoral procedures, including biopsy 65 65 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 845 183 $0.00
80143 182 176 $0.00
80179 180 174 $0.00
J0585 Injection, onabotulinumtoxina, 1 unit 28 27 $0.00
84439 41 40 $0.00
84703 393 370 $0.00
85027 627 593 $0.00
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 2,194 2,099 $0.00
J0690 Injection, cefazolin sodium, 500 mg 96 75 $0.00
36410 15 14 $0.00
85730 51 50 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 24 24 $0.00
84484 22 13 $0.00